Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,096.85 / $4,096.85 / $6,145.28	Facility		$4,096.85	$4,096.85	$6,145.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,855.86 / $4,000.45 / $4,096.85	Professional		$3,855.86	$4,000.45	$4,096.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,506.76 / $6,906.06 / $69,999.30	Facility		$6,506.76	$6,906.06	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6,506.76 / $6,506.76 / $6,906.06	Professional		$6,506.76	$6,506.76	$6,906.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $4,819.82	Facility		$4,819.82	$4,819.82	$4,819.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,819.82 / $4,819.82 / $5,001.70	Professional		$4,819.82	$4,819.82	$5,001.70
United Facility/Professional Professional Modifier Low / Median / High Price $5,684.00 / $6,025.04 / $6,366.08	Professional		$5,684.00	$6,025.04	$6,366.08